Individual
MRS. ANDREA D HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA.,MSW
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 69, W BRENTWOOD, NY 11717-1043
(631) 761-4159
(631) 761-4184
Mailing address
998 CROOKED HILL RD, BUILDING 69, W BRENTWOOD, NY 11717-1043
(631) 761-4159
(631) 761-4184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1160000464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116000464
—
NY
Enumeration date
11/14/2006
Last updated
03/27/2014
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